Kap 13. Autism and Developmental disorders Flashcards

1
Q

When is autism usually diagnosed?

A

with 3-4 years

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2
Q

What is the prevalence of autism and are there gender differences?

A

0,6-0,7% men get the diagnosis around 4 times as often

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3
Q

When do first signs of autism show up?

When are they definitely there?

A

between 12 and 18 months

Definitively before 2 years

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4
Q

What are factors that can explain autism?

A

Around 50% is environmental

An old Mother
Low birth weight
Valproat exposure

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5
Q

What are the main traits of autistism?

A

reciprocal social interactions

communication

restricted, inflexible and repetitive behaviors and interests

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6
Q

What is masking?

A

When problems might be compensated with very exceptional effort

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7
Q

What are reciprocal social interactions people with autism might have problems with?

A

Non-verbal cues: Eye contact, gestures, facial expressions, body language

Social awareness: leading to inappropriate behavior

Others emotions: imagining others feelings, emotional states and attitudes

Social relations: making and sustaining typical peer relationships

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8
Q

What are the types of autism?

A
  1. Intellect, Language
  2. Impaired intellect, Language
  3. Intellect, impaired Language
  4. Impaired intellect, impaired Language
  5. Impaired intellect, No Language
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9
Q

What is needed for diagnosing Autism?

A

Deficits with social communication and reciprocal interaction

restricted, repetitive, inflexible behavior and interests

Onset in early childhood, Symptoms when demands exceed capacities

Symptoms cause issues with family, friends, occupation, education, …

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10
Q

What is Rett syndrome?

A

around 7-24 Months, (partial) loss of speech and motor abilities and characteristic hand movements.

Caused by a random genetic mutation.

It is more common with girls

It is part of the Autism spectrum, but is its own diagnosis in the ICD-11

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11
Q

What is the percentage of people with autism that qualify for a developmental disability?

A

1%

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12
Q

What is the percentage of autistic people who have an IQ over 70?

A

around 66% or 2/3

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13
Q

What are usual first signs in autism?

A

Speech problems and/or delayed speech and communication

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14
Q

What is understood under “Reciprocal social interactions” that autistic people have issues with?

A

Non-verbal cues: Eye contact, gestures, facial expressions, body language

Initiating and sustaining social conversation

Social awareness

Imagining and responding to others feelings, emotional states and attitudes

MUTUAL sharing of interests

Making and sustaining peer relationships

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15
Q

What is needed for diagnosing a developmental disorder?

A
  1. Low functioning (the most important)
  2. IQ < 70 (±5)
  3. Under the age of 18 (exclusion dementia)
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16
Q

What is the Prevalence of Developmental disorders?

A

1-3%

17
Q

What are the levels of developmental disorders and percentages (not prevalences)

A

85% Mild (functional)
10% Moderate
3-4% Severe
1-2% Profound
Unknown…

18
Q

What does “Low functioning” mean in the context of Developmental disorders?

A

Problems with:

Reasoning, Problem solving, planning, abstract thoughts, evaluation, learning and school abilites

19
Q

To qualify for a developmental disorder, what are things that should NOT cause problems with functioning?

A

Missing motivation
Lifestyle
Missing opportunities
Psychological disorders
Drugs

20
Q

Developmental disorder Level: MILD

A

Social and Language abilities before age 5

Can function alone, occasionally need help with difficult things

Functioning of someone in 6th grade/9-12 years old.

IQ: 50-69

21
Q

Developmental disorder Level: MODERATE

A

Can learn some communication and schooling is recommended

Issues with social interaction, can do simple work, usually need help

Functioning of someone 6-9 years old.

IQ: 35-49

22
Q

Developmental disorder Level: SEVERE

A

Few can talk or have limited communication

Can perform simple work tasks and need intense assistance

Functioning of someone 3-6 years old

IQ: 20-34

23
Q

Developmental disorder Level: PROFOUND

A

Often have a neurological disorder

Functioning totally environment dependent

Functioning of someone 0-3 years old

IQ: <20

24
Q

Developmental disorder Level: UNKNOWN

A

Is used before the accurate level is known

25
Q

How accurate is IQ when diagnosing developmental disorders?

A

Not very, especially when looking at the more serious cases, here functioning should be looked at.

26
Q

What are possible prenatal reasons for Developmental disorders?

A

Genetics: Trisomy 21, Fragile X, Williams Syndrome

Environment: Alcohol, other toxins

Other problems: Metabolism, Brain development, Disease

27
Q

What are possible perinatal reasons for Developmental disorders?

A

Early birth

Injury during birth

28
Q
A